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Individual

MR. KENNETH SHEPPARD HOATS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1507 VERNON RD, LAGRANGE, GA 30240-4146
(706) 884-4492
Mailing address
1507 VERNON RD, LAGRANGE, GA 30240-4146
(706) 884-4492

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1882
GA

Other

Enumeration date
10/06/2006
Last updated
07/08/2007
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